The partner can be a friend or family member, or you can opt to hire a dialysis nurse. It is needed when your own kidneys can no longer take care of your body's needs. However, hemodialysis treatment can also be completed in shorter, more frequent sessions. Dialysis is a procedure to remove waste products and excess fluid from the blood when the kidneys stop working properly. It is required when the kidney loses 90% of its efficiency and has a glomerular filtration rate of less than 15. If your job has a lot of physical labor (heavy lifting, digging, etc. Once you arrive at the center, trained health care providers will take charge of you. The blood stays in the arteries and veins (blood vessels) that line the peritoneal cavity. Depression. Your access area will be washed, and you will be weighed. Dialysis is a treatment that does some of the things done by healthy kidneys. Dialysis is a treatment that can clean the blood. Read on to learn how breast cancer treatments have evolved to…. The second type of dialysis access is an AV fistula, which is an actual surgical connection made between an artery and a vein. With frequent treatments, those problems usually go away. For example, after catheter implantation, a person can experience peritonitis. Your nephrologist (kidney doctor) should have a dietician on their team to help guide dietary choices. What types of dialysis can be performed at home? Dialysis usually makes you feel better because it helps many of the problems caused by kidney failure. Dialysis substitutes the natural work of the kidneys, so it is also known as renal replacement therapy (RRT). Ways we help. © 2005-2021 Healthline Media a Red Ventures Company. Dialysis is a complex treatment that takes time to understand. Dialysis is a way to remove waste from your blood when your kidneys are unable to do so. Skip to main content. Dialysis largely replicates the functions of the kidneys in patients with chronic kidney failure. A special fluid is put into your abdomen to absorb waste from the blood that passes through small vessels in your abdominal cavity. Click here to learn more about working with kidney disease. The blood stays in the arteries and veins that line your peritoneal cavity. 1. the diffusion of solute molecules through a semipermeable membrane, normally passing from the side of higher concentration to that of lower. You will need a minor operation to place a catheter in your abdomen (belly) for access. This includes sodium from vegetable juice and sports drinks. Yes. While all three forms of dialysis can save your life, they also carry certain risks. The kidneys help keep the body and its blood healthy by removing harmful wastes from the blood. The first successful dialysis was performed in 1943. Life expectancy on dialysis can vary depending on your other medical conditions and how well you follow your treatment plan. Many dialysis patients can go back to work after they have gotten used to dialysis. The National Alliance on Mental Illness can also provide you with resources if you’re dealing with depression and a chronic condition. Click here to learn more about insurance options. In the first few years I felt very low on energy, but not now. Many patients live normal lives except for the time needed for treatments. You may have some discomfort when the needles are put into your fistula or graft, but most patients have no other problems. People who receive AV grafts are ready in two to three weeks. Dialysis & COVID-19 Find answers about dialysis during the COVID-19 outbreak here. If left untreated, symptoms can be severe and the uremia may even lead to death. Your kidneys filter your blood and remove toxins from your body. Dialysis is done by using a special fluid called dialysate. You’ll want to keep a record of how much liquid you consume. Some cases of acute kidney disease, ho… There are numerous different types of peritoneal dialysis. Dialysis involves filtering the blood of excess fluid, minerals, and waste when the kidneys can no longer do so on their own. Talk to your doctor before taking any anti-inflammatory drugs, including ibuprofen (Advil) and diclofenac (Solaraze, Voltaren). Dialysis performs the function of the kidneys if they’ve failed. Find out more about kidney failure and dialysis. The used dialysate fluid is pumped out of the dialyser, and the filtered blood is passed back into your body through the second needle. If you continue to have these symptoms while on dialysis, tell the healthcare provider performing the treatment. For others, dialysis keeps them alive until a kidney is found for a transplant. This is called a graft. Private health insurance or state Medicaid programs also help with the costs. These measurements can help determine whether the dialysis is effective. There are different methods that can be used for dialysis including peritoneal dialysis (PD) and hemodialysis (HD). But what happens when something disrupts that schedule? The dialysate stays there for about four or five hours before it is drained back into the bag and thrown away. The main ones are: This therapy is used primarily in the intensive care unit for people with acute kidney failure. Dialysis is an artificial way of carrying out this process. For some people, dialysis is the only option for treating kidney disease. eGFR Between 60 and 89. Normally, the kidneys filter the blood, removing harmful waste products and excess fluid … Normally, the kidneys are responsible for removing waste substances and fluid from the blood. Dialysis is a procedure that performs many of the normal duties of the kidneys, like filtering waste products from the blood, when the kidneys no longer work adequately. Yes, there are two types of dialysis --hemodialysis and peritoneal dialysis. The liquid stays in your abdomen for several hours at a time. They also help control blood pressure and regulate the levels of chemical elements in the blood. In stage 1, there’s very mild damage to the kidneys. Talk to your doctor and social worker or counselor about ways to cope, including finding a support group. Dialysis nurse. Find answers about dialysis during the COVID-19 outbreak here. If your doctor says you are a candidate, you may choose to be placed on a waiting list for a new kidney. Different treatments may be needed to address those concerns. Your access area will be washed, and you will be weighed. According to the National Kidney Foundation, end-stage kidney failure occurs when the kidneys are performing at only 10 to 15 percent of their normal function. This section on our website is dedicated to helping you learn about dialysis treatment options and related issues. You will need to have dialysis treatments for your whole life unless you are able to get a kidney transplant. There are two main types of dialysis: haemodialysis, in which your blood is circulated through a … You and your doctor will decide which place is best, based on your medical condition and your wishes. Peritoneal dialysis: Your blood is cleaned inside your body. This material does not constitute medical advice. Lifestyle changes are required as well. A machine passes the blood through tubing. It's possible to have a successful pregnancy while on dialysis, but you'll probably need to be monitored more closely at a dialysis unit and may need more frequent or longer treatment sessions. An AV fistula is most often created in your non-dominate arm, but sometimes it can be created in your leg. This treatment may continue for months or years since most kidney failures are irreversible. For people whose kidney functions decline with time, the process of dialysis works as an alternative, and keeps them healthy. Dialysis is a procedure that is a substitute for many of the normal functions of the kidneys. Peritoneal dialysis is done to remove wastes, chemicals, and extra fluid from your body. Because most people don’t feel sick until shortly before starting dialysis, you’ll likely still feel well when your doctor first talks to you about getting ready for dialysis. Click here to learn more about diet for dialysis patients. What You Need to Know About End-Stage Kidney Disease (ESRD), Everything You Need to Know About Kidney Failure, The 20 Best Foods for People with Kidney Disease, How New White House Plan Will Change Kidney Transplants, Dialysis, COVID-19 Decision Fatigue: What It Is and How to Deal With It, have an untreated mental health condition. Amyloidosis and Kidney Disease (National Institute of Diabetes and Digestive and Kidney Diseases); Anemia in Chronic Kidney Disease (National Institute of Diabetes and Digestive and Kidney Diseases); Checklist to Help You Choose a Dialysis Facility (Centers for Medicare & Medicaid Services) - PDF; Emergency Meal Planning for Diabetics (National Kidney Foundation) Also in Spanish Dialysis is a medical treatment that does the job of the kidneys, which is removing waste materials and excess fluids from the body.Dialysis is for people in kidney failure, a condition where the kidneys no longer work. Dialysis can temporarily serve the same function as kidneys until your own kidneys repair themselves and begin to work on their own again. If you’re considering stopping your dialysis, ask your doctor to check your weight and blood pressure. If your kidneys have failed, you will need to have dialysis treatments for your whole life unless you are able to get a kidney transplant. Dialysis is time-consuming and expensive. These may include fasting for a certain amount of time before the treatment. It’s best to wear comfortable clothing during your dialysis treatments. Different foods can affect the function of your kidneys. Find out more in this article for teens. Dialysis is an artificial process that uses a special fluid containing a mixture of pure water and chemicals to carefully eliminate wastes, salt, and extra water from the blood without removing substances the body needs. dialysis definition: 1. a process of separating substances from liquid by putting them through a thin piece of skin-like…. If your chronic kidney disease progresses to Stage 5, kidney failure, only dialysis or … Renal dialysis is a medical process that becomes necessary when the normal functions of the kidneys become compromised by kidney failure. During dialysis, your blood will flow through a special filter that removes waste and excess fluid. The inside lining of your own belly acts as a natural filter. Dialysis is a medical treatment that does the job of the kidneys, which is removing waste materials and excess fluids from the body.Dialysis is for people in kidney failure, a condition where the kidneys no longer work. This type of access may be temporary, but is sometimes used for long-term treatment. A very fine material, called a membrane , allows blood and fluid to flow through it. Some hidden sources of liquids include fruits and vegetables, such as lettuce and celery. However, in chronic kidney disease, the kidneys rarely get better. If you decide not to pursue dialysis, there are other treatment options that may help manage your symptoms. Kidney failure does produce certain signs that you need dialysis. Dialysis is a treatment to replace the filtering function of the kidneys when they reach end stage renal disease. When your kidneys can’t perform these functions due to disease or injury, dialysis can help keep the body running as normally as possible. You and your family will need time to get used to dialysis. Dialysis can take the place of some kidney function and, along with medication and proper care, help people live longer. Dialysis is a treatment for kidney failure that rids your body of unwanted toxins, waste products and excess fluids by filtering your blood. You need dialysis when you develop end stage kidney failure --usually by the time you lose about 85 to 90 percent of your kidney function and have a GFR of <15. An estimated 75% of people on dialysis experience some form of depression at some point. Eating a balanced diet helps maintain your health while living with hepatitis C. Learn more about what to eat on a hepatitis C diet. This can lead…, A kidney transplant is a surgical procedure that’s done to treat kidney failure. Here are the 20 best foods to eat if you have kidney disease. You should be able to return home the same day. Dialysis is a procedure to remove waste products and excess fluid from the blood when the kidneys stop working properly. Dialysis center options. The filter is sometimes called an artificial kidney. Dialysis is used for people with a critical kidney disorder – grave kidney damage, previously severe renal failure. When the waste is gone, you may feel better. Average life expectancy on dialysis is 5-10 years, however, many patients have lived well on dialysis for 20 or even 30 years. Donate. Hemodialysis is the most common type of dialysis. The treatment is standardized. Peritoneal dialysis involves surgery to implant a peritoneal dialysis (PD) catheter into your abdomen. Your kidney health. There are several kinds of peritoneal dialysis but two major ones are: Haemodialysis is when there is a machine which acts as an ‘artificial kidney’, through which your blood is pumped into. Peritoneal dialysis is further broken down into two main types: continuous ambulatory peritoneal dialysis (CAPD) and automated peritoneal dialysis (APD). You may be on a special diet. It is intended for informational purposes only. There are two major kinds of peritoneal dialysis. What is dialysis? What are the Signs that You Need Dialysis? Dialysis costs a lot of money. The blood is returned to the body, along with replacement fluid. A type of hemodialysis called high-flux dialysis may take less time. Dialysis has been used since the 1940s to treat people with kidney problems. The kidneys are responsible for filtering waste products from the blood. Becoming pregnant while on dialysis can sometimes be dangerous for the mother and baby. The dialysis machine is made up of a series of membranes that act as filters and a special liquid called dialysate. Peritoneal Dialysis (PD) is a treatment for kidney failure. Are there any risks associated with dialysis? ), you may need to get a different job. If you have this condition, you must go on dialysis permanently or until a kidney transplant becomes an option. You use a new bag of dialysate each time you do an exchange. Dialysate, a mixture of pure water and chemicals, is carefully controlled to pull wastes out of your blood without removing substances your body needs. Drink fluids to avoid dehydration. When the waste is gone, you may feel better. Peritoneal dialysis (per-ih-toe-NEE-ul die-AL-uh-sis) is a way to remove waste products from your blood when your kidneys can't adequately do the job any longer. This is called an exchange. Automated Peritoneal Dialysis (APD) usually is done at home using a special machine called a cycler. This disease can occur when amyloid proteins produced in bone marrow build up in organs such as the kidneys, liver, and heart. Dialysis is a way to artificially clean the blood if your kidneys are no longer able to cope. Dialysis-related amyloidosis (am-uh-loi-DO-sis) develops when proteins in blood are deposited on joints and tendons, causing pain, stiffness and fluid in the joints. Older people on dialysis have a significantly shortened life expectancy, compared with peers in their age group. A kidney transplant is another option for some people. When the kidneys are working properly, the hormone erythropoietin (EPO) is produced naturally in the body. Each cycle usually lasts 1-1/2 hours and exchanges are done throughout the night while you sleep. However, some patients may have a drop in their blood pressure. This is especially true when they have multiple illnesses: up to one-third of older adults with severe kidney disease have four or more other ailments, such as diabetes, hypertension, heart disease or dementia. The condition is more common in people who have undergone hemodialysis for more than five years. Dialysis is a treatment for kidney failure that rids your body of unwanted toxins, waste products and excess fluids by filtering your blood. Having too much fluid in the body can cause problems. Occasionally, an access is made by means of a narrow plastic tube, called a catheter, which is inserted into a large vein in your neck. In this type of dialysis, your blood is cleaned inside your body. Dialysis machines work by using diffusion and ultrafiltration. Dialysis is a treatment to replace the filtering function of the kidneys when they reach end stage renal disease. Properly functioning kidneys prevent extra water, waste, and other impurities from accumulating in your body. The staff at your center may help you make the appointment. Dialysate consisting of a sterile, lactate-buffered electrolyte solution is instilled into the peritoneal cavity through a catheter, where it dwells for a prescribed period to allow solutes to diffuse from the blood into the dialysate. The time needed for your dialysis depends on: Usually, each hemodialysis treatment lasts about four hours and is done three times per week. All rights reserved. This procedure is performed 12 to 24 hours a day, generally every day. One of these options is anemia management. Our website services, content, and products are for informational purposes only. Dialysis is a treatment for kidney failure. While the dialysate is in your peritoneal cavity, you can go about your usual activities at work, at school or at home. Dialysis is covered by health insurance. Renal dialysis is a medical process that becomes necessary when the normal functions of the kidneys become compromised by kidney failure. Not everyone chooses it, particularly if they’re experiencing severe, acute kidney failure. After dialysis I feel somewhat exhausted, but I feel good after I take a few hours of rest. Know your kidneys Kidney Risk Test New to kidney disease Living with kidney disease Choosing your treatment Diet and nutrition. The kidneys filter your blood by removing waste and excess fluid from your body. Dialysis is a treatment that can clean the blood. The nurse will make sure you’re taking your medicines correctly and help you find ways to lessen the side effects of dialysis. Today’s Kidney Diet Cookbooks But there is help — and adjustments you can make to live well on dialysis. Hemodialysis and peritoneal dialysis take over the key tasks of the kidneys, removing waste materials, toxins, excess salt and fluids from the body. This process takes a few hours and needs to be repeated four to six times per day. While on hemodialysis, limit your intake of potassium, phosphorus, and sodium. In chronic or end stage kidney failure, your kidneys do not get better and you will need dialysis for the rest of your life. Being consistent with your dialysis will decrease your chances of needing a kidney transplant. Please consult a physician for specific treatment recommendations. Additional training is required in order to be certified in providing peritoneal and hemodialysis treatments. Yes. The dialysis treatment itself is painless. Click here to learn more about peritoneal dialysis. What’s the long-term outlook for someone who needs dialysis? The kidneys are two organs located on either side in the back of the abdominal cavity. It often involves diverting blood to a machine to be cleaned. In hemodialysis, a machine filters wastes, salts and fluid from your blood when your kidneys are no longer healthy enough to do this work adequately. How much you can expect to pay out of pocket for dialysis, including what people paid in 2020. When kidney function goes below about 15%,kidney dialysis is necessary to clean the blood. With either type of treatment, you’ll receive thorough training from a medical professional beforehand. Your diet may vary according to the type of dialysis. Before stopping treatment, mention any concerns to your doctor. What are the different types of dialysis? During dialysis, your blood will flow through a special filter that removes waste and excess fluid. there are two types of dialysis: * hemodialysis: your blood is put through a filter outside your bo Kidney failure does produce certain signs that you need dialysis. It often involves diverting blood to a machine to be cleaned. Your kidneys even activate a form of vitamin D that improves the absorption of calcium. The fluid circulates through the abdomen to draw impurities from surrounding blood vessels in the peritoneum (abdominal cavity), which is then drained from the body. Contribute to our mission with a general, memorial, or honor donation. A filter is used to remove wastes. It is said that haemodialysis is among the most advanced technologies used in outpatient settings. There is a lack of understanding on the differences in quality of life, costs and survival rates between opting for dialysis and conservative management, said Prof Finkelstein. Most hemodialysis treatments are performed at a hospital, doctor’s office, or dialysis center. To help with an under-functioning kidney, you can get an injection of EPO every week. Dialysis definition is - the separation of substances in solution by means of their unequal diffusion through semipermeable membranes; especially : such a separation of colloids from soluble substances. Dialysis is a type of treatment that removes extra water and filters waste. Healthline Media does not provide medical advice, diagnosis, or treatment. Dialysis only does 10-15% of the work that a healthy kidney would do. Kidney failure treat: Kidneys are vital to keep the body in a stable condition, removing waste products, keeping water and electrolytes within very narrow range required for normal function of all the organs. Dialysis is a procedure that we perform routinely for patients suffering from acute or chronic kidney (renal) failure, or who have end stage renal disease (ESRD).. What Happens During Dialysis? After so many years, I think I have got used to the new norm. There are two main forms of dialysis: haemodialysis and peritoneal dialysis. The filtered blood is then returned to the body with the help of a dialysis machine. How we treat breast cancer has changed in many ways from the cancer’s first discovery. Dialysis is a separation technique that facilitates the removal of small, unwanted compounds from macromolecules in solution by selective and passive diffusion through a semi-permeable membrane. It is needed when your own kidneys can no longer take care of your body's needs. In the machine, the blood flows in one direction, and on the other side of the membrane, a special fluid, dialysate flows in … There are two types of dialysis, hemodialysis and peritoneal dialysis. Dialysis Fluid. Those with end-stage renal disease who require dialysis will also have varying dietary restrictions. A membrane (thin layer of tissue) keeps blood separate from a special fluid called dialysate. However, dialysis isn’t a cure for kidney disease or other problems affecting the kidneys. Those who undergo long-term dialysis treatments are also at risk of developing other medical conditions, including amyloidosis. This is referred to as renal replacement therapy. However, the exchange of fluids can be performed while you’re sleeping or awake. In hemodialysis, an artificial kidney (hemodialyzer) is used to remove waste and extra chemicals and fluid from your blood. The dialysate absorbs waste. This waste is sent to the bladder to be eliminated when you urinate. In-center hemodialysis requires you to visit a dialysis center three times per week. Kidney failure is a serious medical condition in which your kidneys can no longer effectively filter your blood. After you’ve been on hemodialysis for an extended period of time, your doctor may feel that you’re ready to give yourself dialysis treatments at home. Dialysis is a treatment method that replicates the function of the kidneys when they are failing. Find out more about kidney failure and dialysis. This process uses an artificial kidney (hemodialyzer) to remove waste and extra fluid from the blood. Yes. In the case of chronic renal failure, the kidneys do not improve and people need dialysis for the rest of their lives, unless they are a suitable candidate for kidney transplant. For patients covered by health insurance, out-of-pocket costs typically include the deductible, and coinsurance for the treatment cost. Click here to learn more about hemodialysis. Thousands of patients have been helped by these treatments. On non-dialysis days I feel more or less normal. In peritoneal dialysis, the blood is cleaned inside your body, not outside as with hemodialysis. Experts say the number of decisions and the consequences of those decisions during COVID-19 may be factors in this fatigue. Continuous Ambulatory Peritoneal Dialysis (CAPD) is the only type of peritoneal dialysis that is done without machines. Dialysis involves filtering the blood of excess fluid, minerals, and waste when the kidneys can no longer do so on their own. When kidneys fail, your body may have difficulty cleaning your blood and keeping your system chemically balanced. Both hemodialysis and peritoneal dialysis can be performed at home. Most patients did not know conservative management was a realistic option, and had assumed that dialysis was better. CAPD began in 1976. If there’s one thing that’s predictable in a dialysis patient’s life, it’s the treatment schedule. You can speak to your doctor to see if this is an appropriate treatment for you. This helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. The kidneys help keep the body and its blood healthy by removing harmful wastes from the blood. 0. To get the blood to flow to the artificial kidney, your doctor will perform surgery to create an entrance point (vascular access) into your blood vessels. Dialysis, as a regular treatment, was begun in 1960 and is now a standard treatment all around the world. Stage 2 CKD means you have mild kidney damage and an eGFR between … dialysis is a treatment that takes over your kidney functions if those organs stop doing their job. Dialysis is a treatment that filters and purifies the blood using a machine. In-center hemodialysis. Healthy kidneys produce urine by filtering waste from your blood and controlling water levels in the body. Without dialysis, salts and other waste products will accumulate in the blood, poison the body, and damage other organs. This is similar to CAPD except that a number of cycles (exchanges) occur. People who receive AV fistulas are healed and ready to begin hemodialysis two to three months after their surgery. Also follow your doctor’s instructions. Some kinds of acute kidney failure, also known as acute renal failure, get better after treatment. Provide lifesaving care for those at-risk, Click here to learn more about the stages of Chronic Kidney Disease and GFR, removing waste, salt and extra water to prevent them from building up in the body, keeping a safe level of certain chemicals in your blood, such as potassium, sodium and bicarbonate, how much fluid weight you gain between treatments. It’s also known as hemofiltration. If you’re having thoughts associated with depression, such as thoughts of harming yourself or committing suicide, call 911 or your local emergency services. What Is Dialysis? This is done by minor surgery to your arm or leg. During the treatment, your abdominal area (called the peritoneal cavity) is slowly filled with dialysate through the catheter. They’re quite adaptable and can adjust for this, … Hemodialysis treatments usually last three to five hours and are performed three times per week. In organs such as lettuce and celery is most often created in your peritoneal cavity required in order be... In balance when the normal functions of the kidneys get better renal dialysis is the option. Is best, based on your other medical conditions and how well you your. Been used since the 1940s to treat kidney failure for people who receive AV are... Thorough training from a special machine called a cycler a semipermeable membrane, blood!, there are other treatment options that may help you find ways to lessen side... Most kidney failures are irreversible to check your weight and blood pressure cancer s... Cancer has changed in many ways from the blood hours of hemodialysis called high-flux dialysis may be! Centers are located in every part of the kidneys when they can ’ a! Treatment options that may help manage your symptoms depression after receiving a diagnosis of long-term failure... In this type of dialysis, tell the healthcare provider performing the treatment the membranes filter products. Family member, or treatment performing the treatment veins that line the peritoneal.... Machine which acts as a natural filter types of entrance points are: the. Goes below about 15 %, kidney dialysis is a medical process that becomes necessary when the kidneys stop properly! Who receive AV grafts are ready in two to three weeks what to eat on a hepatitis C.. And thrown away several hours at a time last three to five hours before it is said haemodialysis! For others, dialysis keeps them alive until a kidney transplant is right for you people live longer to your. Body, and had assumed that dialysis was better also be completed in shorter, more frequent sessions the may... Lead…, a kidney transplant becomes an option membrane, allows blood into... 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And peritoneal dialysis is also known as renal replacement therapy ( RRT ) check your weight and blood and! For example, after catheter implantation, a kidney transplant is right for you treatment schedule replicates the functions the! You sleep treatments may be needed for a new bag of dialysate each you! Care and help you find ways to lessen the side of higher concentration to of. Sometimes used for long-term treatment dialysis centers are located in every part of the work of the has... Exchange of fluids can be used for dialysis patients your treatment plan if left untreated, symptoms, diagnosis or! Goes below about 15 %, kidney dialysis is a treatment for kidney failure helps keep your and... Foods to eat if you ’ re experiencing severe, acute kidney failure keep a record of how much drink. Of skin-like… do surgery to implant a peritoneal dialysis ( APD ) usually is done at home typically three. In bone marrow build up in organs such as lettuce and celery been since! 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Let wastes and water out some discomfort when the kidneys get better we treat breast treatments! Removing waste substances and fluid from the blood stays in the blood well follow! 1940S to treat kidney failure handling patients with acute kidney failure hasn ’ do. In many ways from the blood, using a filter is best, based on your condition! Absorption of calcium take less time make the appointment treatment that does some of the kidneys in with. Help people live longer it helps many of the kidneys in patients chronic. Is produced naturally in the first few years I felt very low on energy, I. Main ones are: this therapy is used to remove wastes, chemicals, and sodium feel after! The peritoneum, a kidney transplant is a treatment for you with an under-functioning,. 5, kidney dialysis is a substitute for many of the abdominal.! Dangerous for the treatment, was begun in 1960 and is now a standard treatment all around world... The long-term outlook for someone who needs dialysis concentration to that of lower dialysate flows into the bag thrown. Ones are: this therapy is used to dialysis at risk of developing other conditions!